District of Columbia Medicaid regulations, state plan, and provider materials
DC DHCF publishes Medicaid regulation notices, the Medicaid State Plan, Medicaid updates, provider information, and State Plan administration sections that govern hearings, records, quality control, program manuals, provider agreements, utilization review, cost sharing, payment, and related coverage operations.
District of Columbia · Effective · Implementation Jul 4, 2026
What it is
- What changed
- DHCF's Medicaid Regulations page lists official rulemaking notices, including the 2026 beneficiary reimbursement final rulemaking, 2021 long-term care services and support assessment and personal care aide reimbursement rulemakings, and rulemakings for HCBS waivers, provider screening, managed-care enrollment and disenrollment, telemedicine, adult hospice, adult day health, health homes, nursing facilities, personal care, respite, and related services. DHCF's provider information page links Medicaid Director Letters, the Medicaid State Plan, DHCF Medicaid Regulations, DHCF Medicaid Updates, behavioral health integration, and high-cost curative therapy. DHCF's State Plan Section 4 page indexes program administration materials including hearings for applicants and recipients, safeguarding information, Medicaid quality control, fraud detection and investigation, program manuals, free choice of providers, required provider agreements, utilization/quality control, inspections, liens and recoveries, cost sharing, and payment.
- Why it matters
- Coverage, provider participation, reimbursement, utilization review, hearings, and long-term-care operations often turn on regulatory and state-plan materials before they appear in a consumer-facing notice. This row anchors the DC regulatory layer for later service-specific explainers.
- Who it touches
- Family caregivers, Paid care workers, Care providers and plans, People receiving care, Businesses and agencies that must complyDC Medicaid beneficiaries, family caregivers, providers, managed care plans, home health agencies, personal care aide providers, hospice providers, adult day health providers, long-term services and supports providers
- What it does
- Plans, studies, registries or guidance
Sources
- DHCF Medicaid Regulations
- DHCF Provider Information and Forms
- DHCF Medicaid State Plan Section 4, General Program Administration
Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.